Short-term Effects of an Inpatient Geriatric Consultation Team on Geriatric Syndrome Patients
A Pilot Study of the Short-term Effects of an Inpatient Geriatric Consultation Team on Geriatric Syndrome Patients
Patients admitted to acute ordinary wards in a medical center in Southern Taiwan from an elder-integrated outpatient department or emergency room from January 2017 to December 2017 were included if they met the following criteria: (i) age 65 years or older, (ii) Barthel index score ≦60 and (iii) with at least one of the following geriatric syndromes: unsteady gait or easy-to-fall ( falls ≧ 2 in last 1 year), malnutrition with Mini Nutritional Assessment-Short Form screening score < 12, urinary incontinence, pressure sores, dementia, delirium, depression, polypharmacy (≧8 medications), and excessive utilization of healthcare facilities (admission≧2, visit Emergency≧2, or visit outpatient department≧12 in one month). Patients were excluded if they were in a vegetative state, under palliative care or terminally ill and suffering from acute illness needing to be transferred to or cared for in the Intensive Care Unit.
Human participant approval was obtained from the Chang Gung Medical Foundation Institutional Review Board before data collection. Participants were recruited from the ordinary wards by research assistants who screened the admission list every morning if they met the inclusion criteria. Then, the detail of the research was explained to the patients and families. They were allowed to choose to be in the control group or the intervention group. After the participants and or family agreed, informed consent was signed. For those who were cognitively impaired or suffered from dementia, informed consent was signed by their relative or partner. For the intervention group, a geriatric physician was consulted and recommendations were made by the geriatric consultant after a complete geriatric assessment. Besides the geriatric physician, the investigator's multidisciplinary team included a social worker, nutritionist and physical therapist. In the control group, the participants only received routine hospital care and no geriatric physician was consulted.
調査の概要
詳細な説明
研究の種類
入学 (実際)
段階
- 適用できない
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
(i) age 65 years or older, (ii) Barthel index (BI) [18] score ≦60 and (iii) with at least one of the following geriatric syndromes: unsteady gait or easy-to-fall ( falls ≧ 2 in last 1 year), malnutrition with Mini Nutritional Assessment-Short Form (MNA®-SF) screening score < 12, urinary incontinence, pressure sores, dementia, delirium, depression, polypharmacy (≧8 medications), and excessive utilization of healthcare facilities (admission≧2, visit Emergency≧2, or visit outpatient department≧12 in one month)-
Exclusion Criteria:
Patients were excluded if they were in a vegetative state, under palliative care or terminally ill and suffering from acute illness needing to be transferred to or cared for in the Intensive Care Unit.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:usual care
For the intervention group, a geriatric physician was consulted and recommendations were made by the geriatric consultant and inpatient geriatric consultation team after a complete geriatric assessment (CGA).
The CGA includes the assessment of depression, dementia, physical performance of Activity of Daily Living (ADL) and nutrition using Geriatric Depression Scale (GDC-15), Mini-Mental State Examination (MMSE), Barthel Index (BI), and Mini Nutritional Assessment-Short Form (MNA®-SF) respectively.
Besides the geriatric physician, our multidisciplinary team included a social worker, nutritionist and physical therapist.
In the control group, the participants only received routine hospital care and no geriatric physician was consulted.
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For the intervention group, a geriatric physician was consulted and recommendations were made by the geriatric consultant after a complete CGA.
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
readmission rate
時間枠:readmission rate within one month after discharge
|
compare the differences of readmission rates between the intervention and control groups
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readmission rate within one month after discharge
|
readmission rate
時間枠:readmission rate within three months after discharge
|
compare the differences of readmission rates between the intervention and control groups
|
readmission rate within three months after discharge
|
readmission rate
時間枠:readmission rate within six months after discharge
|
compare the differences of readmission rates between the intervention and control groups
|
readmission rate within six months after discharge
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
---|---|---|
mortality rate
時間枠:mortality rate within one month after discharge
|
compare the differences of mortality rates between the intervention and control groups
|
mortality rate within one month after discharge
|
mortality rate
時間枠:mortality rate within three months after discharge
|
compare the differences of mortality rates between the intervention and control groups
|
mortality rate within three months after discharge
|
mortality rate
時間枠:mortality rate within six months after discharge
|
compare the differences of mortality rates between the intervention and control groups
|
mortality rate within six months after discharge
|
協力者と研究者
捜査官
- スタディディレクター:Song-Seng Loke
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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